Healthcare Provider Details

I. General information

NPI: 1740631423
Provider Name (Legal Business Name): BEST LIFE RX, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/24/2016
Last Update Date: 12/21/2021
Certification Date: 12/20/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

536 LAWSON BLVD
CLAYTON OK
74536-0517
US

IV. Provider business mailing address

PO BOX 517
CLAYTON OK
74536-0517
US

V. Phone/Fax

Practice location:
  • Phone: 918-569-4884
  • Fax: 918-569-4660
Mailing address:
  • Phone: 918-569-4884
  • Fax: 918-569-4660

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: LAURA CUDD
Title or Position: CEO
Credential: DPH
Phone: 405-570-9496